Marc Lilot, Associate Professor, Medico-Surgical Department of Congenital Cardiology, Anesthesia-Resuscitation Department, Groupement Hospitalier Est, Hospices Civil de Lyon, RESHAPE
Healthcare professionals' stress and performance in simulated or real professional exercises.
Effects of preparation techniques, stress management and activation of cognitive resources
Medical education, as a pedagogical science, is based on robust conceptual background and offers a variety of teaching methods to optimize the professional competencies development. Simulation in healthcare is certainly one of the tools with great educational impact. Among simulation tools, high-fidelity simulation is one of the newest that allows practicing the management of medical critical situation, with a strong implication of the learners, facilitated by immersion into a realistic experience. The level of stress of participants in high-fidelity simulation sessions affects their performance in simulation, their acquisitions, their memorization and their subsequent behaviours in real-life situations.
The lecture will focus on the stress levels experienced by learners during high-fidelity simulation and some cognitive techniques developed with the aim of improving acquisition and reducing the stress level. The first observational study is reporting the stress and anxiety levels, as well as the differences observed among residents during their first simulation session. The second study shows, in a randomized trial, the effect of an integrated relaxation break before the debriefing of the scenario that favoured the memorization at three months of the critical key messages of the scenario. The third study, ancillary to the second one, reports differences in the stress level and memorization between learners who were actively involved and those who were just observers of the scenario. The fourth study is a randomized trial that shows the interest of a pre-critical team planning discussion improving technical performance during simulation. The fifth study is a randomized trial that shows the effects of a stress management training and reactivation occurring before the critical scenario that favoured the non-technical performance and stress control during simulation. The sixth study is the research protocol of a future randomized trial that will compare the stress level and performance of residents during simulation scenario, after a standardized relaxation breathing guided or not by cardiac coherence biofeedback and compared to a control group.